Suggest Treatment For Abnormal Uterine Bleeding

Posted on Sun, 19 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 19 Jun 2016 Answered on

Tue, 12 Jul 2016 Last reviewed on

Question : I am 56 years old . My period stopped a year ago. Now I am having blood again. What is it ? I started taking dafflon and dicynone to stop the bleeding.

Answered by Dr. Dr. Soumen Patra (1 hour later)

Brief Answer:
Need proper evaluation of the case.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my comments:

1) In this age group, mild bleeding may occur due to hormonal ups and downs, as a result of dysfunction of ovary and progesterone deficiency.

However, we need to rule out possible causes of this type of bleeding (in post menopausal period). These are as follows:

a) Endometrial atrophy (thinned out)
b) Endometrial hyperplasia or carcinoma (if any)
c) Others- adenomyosis, certain medicine, infection etc.

Do some basic investigations to pinpoint the diagnosis like FSH, estrogen level, thyroid profile, Trans Vaginal Ultrasound scan (TVS), Pap smear test (to detect cancerous changes) and endometrial biopsy.

2) In this case, progesterone therapy with Medroxyprogesterone acetate (like PROVERA) and Tranexamic acid will help to control bleeding. You need to take complete prescription from doctor.

3) If progesterone therapy fails to control bleeding, you should proceed for D & C to get effective result.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T